Manager Compliance Auditing Monitoring Jobs in Albuquerque

HSC Manager,Compliance Duties: Provide an opportunity for ... quality health care. Implementing enterprise-wide compliance and HIPAA related initiatives and ... initiatives and ensures that enterprise compliance functions are being performed..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... Codes. KEY ACCOUNTABILITIES 95% Quality Monitoring Audits Review..

Compliance Manager The candidate will be responsible ... Managing and supervising four (4) Compliance Specialists (investigators). Ensuring data compliance for timely complex investigations and ... internal claims. Monitors and audits..

... The Director, Actuarial Risk and Compliance is responsible for the overall ... The Director, Actuarial Risk and Compliance requires an in-depth understanding of ... The Director, Actuarial Risk and..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Regulatory Compliance Specialist IV The candidate assists and supports the organization in complying with, as well as the ongoing preparation, testing and monitoring of conformance to, the requirements of government regulations ..

... billing is accurate and in compliance with financial policies, procedures, and ... various administrative functions such as monitoring expenditures and preparing reports and ... Joint Commission readiness Ensure staff..

Associate IT Project Manager Duties: Support assigned initiatives from project planning to project close-out, ensuring that all activities, including process design and modifications, process automation/system enhancement requirements definition and development, methods ..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Albuquerque New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

Manager, International Compliance and Reporting Services Duties: Conduct design sessions with the client to understand and document the requirement definition for the system. Assign activities and tasks to the project team. ..

... recovery. Store Supervisors participate in monitoring associate compliance to all company policies and ... the store. REPORTS TO: Store Manager and/or Co-Manager ESSENTIAL DUTIES AND RESPONSIBILITIES: CUSTOMER ... as..

Manager of HIM & Coding Department: Patient Financial Services Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Manage daily Health Information operations and coding/charge entry operations to include ..

HSC Compliance Manager The candidate will be facilitating ... The candidate will be facilitating compliance metrics/reporting, overseeing sanction checks, maintenance ... advice on investigations, and providing compliance related training. Oversee..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Compliance Specialist Duties: Participates in the ... the administration and oversight of compliance programs for all jurisdictions and ... Works with the CCO, VP Compliance, and Compliance Oversight Committee to..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Regulatory Compliance Specialist IV The candidate manages ... support and maintain existing audit compliance efforts and regulatory compliance obligations, and to support program ... are being built to scale compliance..

Best Buy As an Assistant Store Manager - Operations, you will play a vital role in creating a positive customer service experience throughout the store. In-store pickup, checkout, asset protection, inventory ..

... environments to be always in compliance with Humana security and compliance policies. Lead, and collaborate with ... principles with Terraform, Azure Resource Manager, Docker, Kubernetes Monitor system uptime, .....

Senior Manager, International Compliance and Reporting Services Duties: The candidate will work within an engagement team and draw on experience in accounting and taxation to provide tax compliance and consulting services ..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Albuquerque New Mexico Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..

Best Buy As an Assistant Store Manager - Operations, you will play a vital role in creating a positive customer service experience throughout the store. In-store pickup, checkout, asset protection, inventory ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... responsible for the administration and monitoring of the Autism Care Demonstration ... Exceptional Family Member Plan (EFMP), auditing for..